Provider Demographics
NPI:1427374842
Name:JOINING HANDS COMMUNITY GROUP HOME
Entity Type:Organization
Organization Name:JOINING HANDS COMMUNITY GROUP HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETISHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-638-1968
Mailing Address - Street 1:9620 BECKLEY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-4641
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9620 BECKLEY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-4641
Practice Address - Country:US
Practice Address - Phone:281-638-1968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty